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Related Experiment Videos

Correlation between cortical plate proximity and apical root resorption

A Horiuchi1, H Hotokezaka, K Kobayashi

  • 1Department of Orthodontics, Nagasaki University School of Dentistry, Sakamoto, Japan.

American Journal of Orthodontics and Dentofacial Orthopedics : Official Publication of the American Association of Orthodontists, Its Constituent Societies, and the American Board of Orthodontics
|September 22, 1998
PubMed
Summary

Orthodontic treatment can cause root resorption. This study found that tooth root proximity to the palatal cortical plate significantly increases the risk of apical root resorption during orthodontic tooth movement.

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Area of Science:

  • Dentistry
  • Orthodontics
  • Periodontology

Background:

  • Root resorption is a common side effect of orthodontic treatment.
  • Dentofacial morphology may predispose individuals to root contact with cortical plates.
  • Root apex proximity to cortical plates is a newly identified risk factor.

Purpose of the Study:

  • To investigate the correlation between apical root resorption and proximity to maxillary cortical plates.
  • To determine the influence of root approximation to cortical plates on orthodontic root resorption.
  • To identify predisposing factors for root resorption during orthodontic treatment.

Main Methods:

  • Constructed best-fit lines for maxillary palatal and labial cortical plates.
  • Measured root apex proximity to maxillary alveolar cortical plates.

Related Experiment Videos

  • Correlated measured variables with apical root resorption levels.
  • Main Results:

    • Root approximation to the palatal cortical plate explained ~12% of root resorption variance.
    • Maxillary alveolar bone width explained ~2% of root resorption variance.
    • Tooth extrusion and crown lingualization also contributed to root resorption.

    Conclusions:

    • Maxillary central incisor apical root resorption is significantly influenced by root proximity to the palatal cortical plate.
    • Root approximation to the palatal cortical plate is a key factor in orthodontic root resorption.
    • Understanding these factors can help minimize iatrogenic root damage during orthodontics.